ACTIVE LEARNING CENTER GRANT PROPOSAL Please use this Microsoft® Word template to apply for the grant. Note that you will need a copy of the Steelcase Education Proposal Guide as you complete this form. Register and submit your completed proposal electronically at Steelcase.com/activelearningcenter. Due to the high volume of grant proposals we receive, it is not possible for us to respond to requests for feedback from individual applicants. Submission deadline is Friday, February 12, 2016. Thank you for your interest in active learning. EDUCATIONAL INSTITUTION: Grades 6 – 12 ☐ College/University ☐ PRIMARY CONTACT: ADDRESS: CITY / STATE / ZIP: PHONE: EMAIL: Please tell us how you heard about this grant opportunity? ☐ Steelcase Employee ☐ Steelcase Dealership ☐ Professional Association ☐ Colleague ☐ Online ☐ Tradeshow or Convention ☐ Media ☐ Other ACTIVE LEARNING CENTER GRANT PROPOSAL Classroom description Describe the classroom you will designate for the Steelcase Education Active Learning Center: Number of students Room length Grade level Room width Room height Indicate which classroom application is most appropriate to support your educational needs. (See the four classroom descriptions on pages 10 – 13 of the Proposal Guide.) ☐ Active Learning Classroom 1 Effortlessly morph from lecture to team mode and back again in seconds ☐ Active Learning Classroom 2 Adjustable height desking creates tiered rows for easy, equal viewing ☐ Active Learning Classroom 3 Diverse applications create an environment that supports blended learning ☐ Active Learning Classroom 4 Static maker space supports ideation and creativity Insert photos of the current classroom space in the boxes below. Please include a maximum of four photographs, and note that this document’s file size must not exceed 10 MB (megabytes). 2 ACTIVE LEARNING CENTER GRANT PROPOSAL Classroom description (continued) In the space below, indicate how your educational institution will renovate the existing space, if required, to accommodate the Steelcase Education Active Learning Center. Note: the classroom is expected to have updated floor covering, paint, lighting, etc. as part of the renovation. 3 ACTIVE LEARNING CENTER GRANT PROPOSAL Educational philosophy In the space below, describe the following: Desired pedagogy you want to achieve Credentials of the staff member(s) who will be responsible for the Active Learning Center Grant two-year program How the instructors using this classroom will be selected Maximum of 500 words 4 ACTIVE LEARNING CENTER GRANT PROPOSAL Expected impact Describe the ways you believe the Active Learning Center can impact teaching and learning and support your desired pedagogy. Why? (See page 5 of the Proposal Guide for a detailed description of the elements of an impact study.) Maximum 500 words 5 ACTIVE LEARNING CENTER GRANT PROPOSAL Measuring impact Describe how you will measure the impact/success (see page 5 of the Proposal Guide for description) of the Active Learning Center for students and for teachers. Maximum 300 words 6 ACTIVE LEARNING CENTER GRANT PROPOSAL Disseminating insights and learnings Describe how your educational institution will share your results (see page 5 of the Proposal Guide for description) with internal (educational entity) and external audiences throughout the two-year grant period. Maximum 300 words 7 ACTIVE LEARNING CENTER GRANT PROPOSAL Project timeline Provide a timeline indicating the chronological order in which the required activities of the grant will be undertaken, including the lead person responsible for each activity. (Activities include: Steelcase post-occupancy measurement tool, measuring impact, disseminating insights/learnings, writing an annual plan each year.) One page maximum 8 ACTIVE LEARNING CENTER GRANT PROPOSAL Commitments of grant recipient (confirmed in three-party agreement) We have reviewed, understand and agree to all the commitments of a grant recipient as described in the Active Learning Center Grant Proposal Guide. Name of school representative: Signature: Title: Date: ☐ Steelcase Education has my permission to use images of my classroom for any purposes in connection with promoting the Steelcase Education Active Learning Center Grant and its activities, which may include advertising, promotion and marketing. No institution names will be used in these promotions or activities. ☐ Our institution would like to be contacted by a Steelcase Education representative to speak about products, insights or research as it relates to our learning spaces. 9